Monograph Details

Nutrition > Anorexia/cachexia
MARINOL
Manufacturer
Unimed Pharmaceuticals, Inc.
Legal Classification
CIII
Pharmacological Class
Cannabinoid.
Generic Name
Dronabinol 2.5mg, 5mg, 10mg; caps; contains sesame oil.
Indications
Anorexia with weight loss in AIDS patients.
Children
Not recommended.
Adults
Individualize. Initially 2.5mg twice daily before lunch and supper. If intolerable, may reduce to 2.5mg once in the evening. May increase gradually to max 20mg/day in divided doses.
Precautions
Seizure or cardiac disorders. History of psychiatric disorders (eg, mania, depression, schizophrenia) or substance abuse. Write Rx for smallest practical amount. Keep patient under responsible adult supervision (esp. when dose is adjusted). Children. Elderly (monitor: esp. with dementia). Pregnancy (Cat.C). Nursing mothers: not recommended.
Interactions
Potentiates CNS depression with benzodiazepines, barbiturates, alcohol, other CNS depressants and other psychoactive substances (avoid). May affect, or be affected by other drugs that are highly protein bound (eg, sympathomimetics, anticholinergics, tricyclic antidepressants). Antagonizes theophylline.
Adverse Reactions
Psychomimetic reactions, euphoria, depression, behavior disorders, drowsiness, dizziness, fatigue, somnolence, altered mental status, seizures (discontinue if occurs), ataxia, anxiety, paresthesia, tachycardia, hypotension, vasodilation, tolerance and withdrawal syndrome.
How Supplied
Caps—60